Labs/Startups/Ateliers (LSA) Application Form
LSA Name
*
Name of Applicant
*
First Name
Last Name
Title of Applicant
*
Email of Applicant
*
example@example.com
School, Department, or Organization of Applicant
*
Name(s) of Co-Applicant(s)
Title(s) of Co-Applicant(s)
Email address(es) of Co-Applicant(s)
School, Department, or Organization(s) of Co-Applicant(s)
Please indicate your CRE2 Affiliate Status:
Graduate Student Affiliate
Faculty Affiliate
Postdoctoral Affiliate
Resident or Trainee Affiliate
Is this a CRE2-initiated LSA?
Yes
No
If yes, list CRE2 theme(s) relevant to LSA.
Is this a scholar-initiated LSA?
Yes
No
Proposal
Please enter the Proposal. Include the following information: the description of the goals of the LSA, anticipated activities and outcomes.
*
0/400
*
0/400
Please enter the proposed budget for anticipated activities. You are not required to fill in all ten categories, but must include at least one.
*
Budget Category
Amount (in dollars)
1
2
3
4
5
6
7
8
9
10
Please include description of human subjects (if applicable).
Please upload current CVs for all investigators here.
*
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